Research Article
Maternal and Perinatal Outcome of Placenta Previa: 10 Years Analysis in the District of Bamako
Thera T, Teguete I, Kouma A, Traore ZO,
Traore M, Bocoum M, Mounkoro N
Correspondence Address :
Thera Tiounkani
University
Hospital Point G
Bamako, Mali
Tel: 00223-79068353
Email: tiounkani@gmail.com
Received on: August 28, 2017, Accepted on: October 20, 2017, Published on: October 27, 2017
Citation: Thera T, Teguete I, Kouma A, et al. (2017). Maternal and Perinatal Outcome of Placenta Previa: 10 Years Analysis in the District of Bamako
Copyright: 2017 Thera Tiounkani, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Introduction: We initiated this study to determine the outcome of placenta praevia in our department.
Material and Method: This is a cross-sectional study comparing the maternity of the Gabriel Toure's hospital over 10 consecutive years. We compared two groups with placenta previa and without it. Included pregnant women with newborns had a weight ≥ 500 g or whose≥ 22 weeks. We determined the Odds ratio and its 95% confidence interval.
Results: We recorded 504 cases of placenta previa among 30323 admissions (1.7%). Only placental abruption was strongly associated with placenta previa (p<0.001). However, therewere no differences between the two groups according to rates of endometritis, postpartum hemorrhage and maternal death (p>0.05). We found 73.1% of caesarean sections in the placenta praevia group vs57.4% in the group without a placenta previa. Indeed, there was a significantly higher incidence of stillbirths, Apgar score <7, transfer of newborns and small birth weights in the placenta previa group (p <0.001). However, there was no significant difference between the period of prenatal deaths and the type of placental desertion in the two groups.
Conclusion: The maternal outcome is often good. The perinatal outcomes dominated by prematurity and significant perinatal mortality especially during the antenatal period.
Keywords: Placenta previa, Risk actors, Maternal outcome, Fetal outcome